Page 153 - การสืบสวนสอบสวน
P. 153

๑๔๖



                                             Ẻ»ÃÐÇÑμÔʶҹ·Õè·ÑèÇä»

                    ๑.  ชื่อสถานที่...................................................................................................................
                    ๒.  ที่ตั้ง..........................................................................................โทร. ...........................

                    ๓.  ชื่อเจาของ.......................................................................................อายุ...................ป
                            หมายเลขบัตรประจําตัวประชาชน.........................................................................

                        ที่อยูตามบัตรประจําตัวประชาชน..................................................................................
              ..........................................................................................................................................

                    ๔.  ชื่อผูดําเนินกิจการ/ผูดูแล..........................................................................................
                        อายุ...................ป
                            หมายเลขบัตรประจําตัวประชาชน.................................................................................

                            ที่อยูตามบัตรประจําตัวประชาชน..................................................................................

              ..........................................................................................................................โทร......................
                        ที่พักอาศัยปจจุบัน............................................................................โทร......................
                    ๕.  ลักษณะทั่วไปของสถานที่..............................................................................................

              .....................................................................................................................................................
              .....................................................................................................................................................

              .....................................................................................................................................................
                    ๖.  ลักษณะทั่วไปของสถานที่..............................................................................................

              .....................................................................................................................................................
              .....................................................................................................................................................

              .....................................................................................................................................................
                    ๗.  ขอมูลสําคัญที่ควรทราบ................................................................................................

              .....................................................................................................................................................
              .....................................................................................................................................................

              .....................................................................................................................................................



                    ผูจัดทํา................................................วัน  เดือน  ป  ที่จัดทํา....................................
                              (...............................................)

                       ตําแหนง...............................................
   148   149   150   151   152   153   154   155   156   157   158